| NPI | 1528220647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 110772) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 98761) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2018-12-10 |